46 N.Y. St. Rep. 479

Mary B. De Frece, Adm’rx, Resp’t, v. The National Life Insurance Co., App’lt.

(Supreme Court, General Term, First Department,

Filed May 13, 1892.)

Insurance (life)—Payment of premiums—Notice.

Plaintiff's intestate was insured in the defendant company. At the time *480of Ms death he was indebted to the company for part of a premium for which he had given a note and also a premium which had just become due. Almost all the premiums had been paid by him after they became due. The notice served by the company did not comply with the statute. Held, that a judgment in favor of plaintiff would not be disturbed.

Appeal from judgment entered upon a verdict directed by the court at circuit.

I. Newton Williams, for app’lt; B. F. Einstein, for resp’t.

O’Brien,

The defendant issued three endowment policies-on October 27, 1881, on the life of plaintiff’s intestate for $1,000 each. The bonds were payable in twenty years, or upon the death of the intestate, on the condition that the annual instalment should be paid on or before the 27th day of October in each year. The inode of payment, from annual to quarterly payments of premium, was changed by an arrangement between the parties in October, 1888, so that, subsequent to that period, the premiums were due- and payable on the 27th days of October, January, April and July in each year.

The bond sued upon contained a provision that “in case any instalment * * * shall not be paid the day when payable, the bond shall thereupon become forfeited and void * * *.’’

Benjamin De Frece died on February 19, 1889, and after the appointment of plaintiff as administratrix, she, on August 7, 1889, presented proof of his death to the defendant and demanded payment of the policies, which was refused; hence this-action.

De Frece, at the time of his death, was indebted to the company in the sum of $250, with interest from October 27, 1888, for which lie had given his promissory note, and which defendant-sets up as a counterclaim in this action. As this amount was conceded to be due the defendant upon the trial and no question arises concerning it upon this appeal, we may dismiss it without further consideration, it being conceded that any recovery to be had by the plaintiff must be subject to a deduction for the amount of such note.

As to what was due the plaintiff upon the bonds was the question litigated upon the trial; the plaintiff insisting that the whole amount was due, except the indebtedness owing to the company upon the promissory note hereinbefore referred to, and the defendant insisting that all that the plaintiff was entitled to recover was the marginal or cash value of the bonds, with interest, amounting to $846.45, less the amount of the promissory note, for which the company was entitled to credit.

The ground upon which the defendant refused to pay the policy and insisted that only the cash value was due, was that the quarterly premium, which fell due on January 27, 1889, was not paid, but that, inasmuch as two annual premiums had been paid, the plaintiff was entitled to the cash value only of the policy.

It appears from the evidence that the insured paid all the premiums or instalments which became due on the bonds to-January 27, 1889, so as to leave only the question as to the *481effect of the failure to pay the last premium, due January 27, 1889.

It appeared that all the premiums, some twenty-one in all, except in three instances only, were paid after these payments became due; and in respect to the premium which was payable October 27,1888, the evidence shows that it was not paid until January 80, 1889, or three days subsequent to the date when the January premium of 1889 was due and payable.

It was insisted by plaintiff upon the trial, that whether any default was made in reference to this condition in the policy, as to the forfeiting the same in case of non-payment of the premium when due, the same was not available as a defense to the defendant, upon the ground that the notice which the law requires as a pre-requisite to declare a forfeiture for non-payment, chap. 341, Laws 1876, as amended by chap. 321, Laws 1877, had not been served upon plaintiff’s intestate.

In view of the conclusion to which we have arrived, we may assume that the notice was properly given, and, if the facts otherwise warranted, the defendant was in a position to take advantage of the forfeiture provided for in the policy.

The question presented, therefore, in this case is whether the policy became forfeited by the failure to pay the premium upon the day when due, or whether, as contended by the plaintiff, the defendant waived the prompt payment of such premium.

In this connection it is strenuously insisted by appellant that the court erred in allowing evidence tending to excuse the payment of the premium or any evidence tending to show a waiver of the condition of the bonds. For this purpose resort is had to the familiar principle, that where the plaintiff alleges performance of a condition, it is necessary in order to recover that such performance be proven, but that where, as here, an excuse is sought to be interposed for nonperformance, it must be pleaded, and that under an allegation of due performance, wheti controverted, evidence in excuse of performance is not admissible. We think, however, that the defendant gives too narrow a construction to the complaint, and that, apart from this consideration, the manner in which the trial was conducted prevents defendant availing itself of this objection. If before such proof can be considered an amendment is necessary, such amendment can be allowed by this court to sustain the judgment, if in other respects just and proper.

In regard to the pleadings, it should be noticed that the plaintiff does not state that the terms and conditions of the original policy were fully performed, but the allegation is “ that the said Benjamin De Frece complied with the terms of said agreement so far as the same were to be complied with by him.” If the plaintiff did not intend to avail herself of the change in the terms of the policy in respect not only to the time when the premiums were payable, but also as to the waiver upon which a right of recovery would be predicated, the proper form of allegation would have been that he had duly performed all the terms and conditions ofth& *482policy. We do not regard the allegation of performance in the complaint to be equivalent to this, or a statement that the plaintiff had performed the terms of the original agreement; but, on the contrary, the statement is that he had complied with such terms, so far as the same were lo be complied with by him. Moreover upon the trial, after the case was opened, and without any proof being offered by plaintiff, the defendant proceeded to introduce its defense by showing the service of notice, required by law, to entitle it to foi-feiture, coupled with the fact that such notice had not been complied with by the payment by plaintiff’s intestate of the premium thereafter falling due. It seems to us that it was competent, where the defendant assumed the affirmative, for the plaintiff, in rebuttal, to introduce such evidence as would destroy the force and effect of the defense so sought to be presented. We think, therefore, that it was proper for the court to allow any competent evidence to be introduced which would tend to prove that the defendant had waived the condition of -the policy in respect to the prompt payment of premiums. It remains then to consider the force and character of the evidence adduced.

We regard it as w'ell settled, that a condition in a policy of insurance that no insurance, whether original or renewed, shall be binding until the actual payment of premiums, may be waived by paroi by the company or its authorized agent, and the waiver may be shown by proof that the credit was expressly given, or may be inferred from the circumstances attending the relations or dealings of the parties. Bodine v. Exchanae Fire Insurance Co., 51 N. Y., 117.

We think that testimony such as was here given, showing that out of twenty-one payments eighteen were received subsequent to the date when actually payable, according to the terms of the policy, was competent, as tending to show or prove a waiver. From such evidence it could be legally inferred that the defendant, by its course of dealing with De Frece by accepting payment of premiums long after they became due under the terms of the policy, led him to believe that prompt payment of premiums was unnecessary, and that the same might be paid within a reasonable time after they became payable, without- forfeiture of the policy. As said in Leslie v. Knickerbocker Life Ins. Co., 63 N. Y., 33, “Even if there be no primary hostile purpose in the action of one who may, in a certain event, become entitled to a forfeiture or other right arising from the non-performance of a condition, if by his act he has induced another to omit strict performance, he may not take the benefit or exact the forfeiture.”

In Phoenix National Life Ins. Co. v. Doster, 106 U. S., 37, the judge writing.the opinion of the court remarks: “In Ins. Co. v. Norton, 96 U. S., 239, we said, in reference to a policy similar to the one here in suit, that the company was not bound to act upon the declaration that its agents had no power to make agreements or waive forfeitures, but might, at any time, at its option, give them such power; that the declaration was tantamount to a notice to the insured, which the company could waive and disregard at pleasure. 'In either case,’ said the court, ‘ both with regard to *483the forfeiture and to the powers of its agents, a waiver of the stipulation or notice would not be repugnant to the written agreement, because it would only be the exercise of an option which the agreement left in it. And whether it did exercise such option or not was a fact provable by paroi evidence, as well as by writing, for the obvious reason that it could be done without writing.’ In the same case it was said that although in life insurance time of payment was material, and could not be extended against the assent of the company, where such assent was given the court should be liberal in construing the transaction in favor of avoiding a forfeiture. And in Ins. Co. v. Eggleston, 96 U. S., 577, it was said that the courts are always prompt to seize hold, of any circumstances that indicate an election to waive a forfeiture, or agreement to do so on which the party has relied and. acted. Consequently, said the court, speaking by Mr. Justice Bradley : ‘ Any agreement, declaration or course of action on the part of an insurance company which leads a party insured honestly to believe that by conforming thereto a forfeiture of his policy will not be incurred, followed by due conformity on his part, will and ought to estop the company from insisting upon the forfeiture, though it might be claimed under the express letter of the contract. The company is thereby estopped from enforcing the forfeiture. The representations, declarations or acts of an agent, contrary to the terms of the policy, of course, will not be sufficient, unless sanctioned by the company itself. Ins. Co. v. Howry, 96 U. S., 544. But when the latter has by its course of action ratified such declarations, representations or acts, the case is very different.’ ”

We think, under these decisions and many more which might be cited, that it is perfectly competent to introduce evidence showing the course of dealing between the parties, and that where such evidence warrants a conclusion that an assured acted upon the belief that a literal compliance with the provisions of a policy concerning th§ payment of premiums would not be required, such conclusion amounts to an estoppel against insisting, upon a technical forfeiture.

Apart from the manner in which the premiums generally were-paid, the very last payment is most significant, not only as showing that a credit was given for overdue premiums, but also as estopping the defendant from insisting upon a forfeiture.

As already stated, the default claimed was for a premium due upon January 27, 1889, and yet, in the face of a forfeiture now claimed for such default, the evidence shows that on January 30 or 31,1889, three or four days after the default upon the January instalment became due, they received the premium for the three months or quarter ending October 27, 1888; so that on January 30th or 31st, when the October premium was paid, two premiums were due, and yet the defendant, after having received the payment of one, insists that it is entitled to take advantage of the failure to promptly pay the other, and can take advantage of a, technical default and forfeit the plaintiff’s rights in the bonds. This would be in the highest degree inequitable and unjust, and *484we do not think there is any authority that would warrant or support any such forfeiture as is claimed here.

It must be remembered that upon the conclusion of the case both sides requested the direction of a verdict, and the court having directed a verdict for plaintiff, all the controverted facts and all inferable facts in support of the judgment must be deemed to have been established.

The only other question that need be referred to is defendant’s insistence that it was reversible error to allow the counsel for plaintiff, upon cross examination of one of defendant’s witnesses, to ask as to the contents of the monthly reports made by the general agent to the home office of the defendant, which reports were not in evidence nor present upon the trial. No doubt the purpose of these questions was to prove knowledge and ratification, by the defendant, of the alleged acceptance of the premiums -after due, by showing that reports as to the time when premiums were paid were made by the general agent to the home office, and if, as claimed, there was no other evidence showing ratification by the defendant or acceptance of these premiums after the same were due, the admission of such evidence would be prejudicial error which would call for a reversal. If, however, we entirely leave •out this testimony, we will find that the defendant itself called for and put in evidence receipts for premiums paid, each of which receipts was countersigned by the proper officer of the defendant, and each of which showed when the premium became payable and when, in fact, it was actually paid. There was practically no dispute as tó defendant’s knowledge of the times when payments were made, or as to the fact of its accepting such payments at periods long after the same were due. The insistence was that, notwithstanding this had been done in all the instances enumerated, the defendant was still entitled to avail itself, by reason of the strict letter and terms of the policy, of a forfeiture. We do not think that a life insurance company that would seek to avail itself, upon the facts here appearing, of such a technical defence, so as to escape the payment to those whom the assured wished to benefit of a just and honest debt, is entitled to any consideration other than the extension to it of the hard and rigid rules of law, to which, for the purpose of escaping its liability, it itself appeals in seeking to escape such liability.

In our opinion, the facts proven justify the inference made by the learned judge in directing a verdict, and there being no error requiring a reversal, the judgment should be affirmed, with costs.

Van Brunt, P. J.

I do not concur in the foregoing opinion. I think, however, that the judgment should be affirmed upon the ground that the notice served was entirely insufficient to comply with the statute. In order that an insurance company can insist upon a default in the payment of a premium it must serve, as prescribed by statute, a notice stating when the premium will fall due, and that, if not paid, the policy and all payments thereon will become forfeited and void.

The notice served in the case at bar contained no reference to *485forfeiture. Upon the back of the notice is printed what purports to be a copy of the statute, which it is not. This endorsement is not referred to in the notice, forms no part thereof, and certainly is not a compliance with the statute. If the insurance company want to insist upon a forfeiture they must show a compliance with the statute. The judgment should therefore be affirmed, with costs.

Andrews, J.—I concur in the result.

De Frece v. National Life Insurance
46 N.Y. St. Rep. 479

Case Details

Name
De Frece v. National Life Insurance
Decision Date
May 13, 1892
Citations

46 N.Y. St. Rep. 479

Jurisdiction
New York

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